Provider Demographics
NPI:1609973080
Name:HOLLIFIELD, CARYL ANN
Entity type:Individual
Prefix:
First Name:CARYL
Middle Name:ANN
Last Name:HOLLIFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 EAKER CIR
Mailing Address - Street 2:
Mailing Address - City:CHERRYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28021-9505
Mailing Address - Country:US
Mailing Address - Phone:704-853-5022
Mailing Address - Fax:704-853-5252
Practice Address - Street 1:911 WEST HUDSON BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052
Practice Address - Country:US
Practice Address - Phone:704-853-5022
Practice Address - Fax:704-853-5252
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker